11 results
It starts as sinus rhythm with probable inferior STEMI, but becomes ventricular fibrillation (or polymorphic ventricular
It starts as sinus ... #Clinical #EM #Cardiology ... #EKG #Arrest #VentricularTachycardia
Perilunate Dislocation
On lateral wrist XR, the capitate ("apple") should sit in the lunate ("tea cup") which
lateral wrist XR ... Disposition: Pending orthopedic ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... #Sports #MSK
Triquetral Fracture
The triquetrum is the second most commonly fractured carpal bone. Look for the "pooping duck
Discharge with orthopedic ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... Diagnosis #Management #Orthopedics ... #Sports #MSK
Scapholunate Dissociation
The spacing between all carpal bones should be 1-2 mm, look for the "Terry Thomas"
follow-up with orthopedics ... MH/CCF/CWRU EM ... Scaphoid #Carpal #Radiology ... Diagnosis #Management #Orthopedics ... #Sports #MSK
Posterior Elbow Dislocation
The elbow is the second most commonly dislocated major joint in adults and the
Complex, involve orthopedics ... Complex, pending orthopedic ... MH/CCF/CWRU EM ... Dislocation #Posterior #Radiology ... #Sports #MSK
Mallet Finger
Absence of a fracture does NOT exclude Mallet finger, the extension function of the DIP
joint needs to be clinically ... Discharge with orthpedic ... MH/CCF/CWRU EM ... Mallet #Finger #Radiology ... #MSK
Scaphoid Fractures
The scaphoid is the most commonly fractured carpal bone. Remember, if a fracture is suspected
follow-up with Orthopedics ... follow-up with PCP or orthopedics ... MH/CCF/CWRU EM ... Wrist #Carpal #Radiology ... #Sports #MSK
Anterior Shoulder Dislocation - ED Management
The shoulder is the most commonly dislocated major joint, 95% of
MH/CCF/CWRU EM ... Dislocation #Anterior #Radiology ... Diagnosis #Management #Orthopedics ... #Sports #MSK
Septal Hypertrophic Cardiomyopathy (HOCM)

52yo worsening exertional sx and murmur. EKG nonspecific, Serial trops (-) 
EM resident
EKG nonspecific, ... Serial trops (-) EM ... elevated LVEDP ==> MRI ... Cardiomyopathy #HOCM #HCM #clinical ... echocardiogram #plax #cardiology
The ECG shows ST elevation (STE) across the precordium, highest in V2 and V3. There are
The ECG shows ST ... STE after prior MI ... morphology") #Clinical ... #EM #Cardiology ... #EKG #Aneurysm